The Anganwadi Workers of India – Connecting for Health at the Grassroots

India is home to the largest population of malnourished and hunger-stricken people and children leading to high infant and maternal mortality. Along with these issues are a deluge of problems ranging from diseases, lack of education, lack of hygiene, illness, etc.

To combat this situation, the Government of India in 1975 initiated the Integrated Child Development Service (ICDS) scheme which operates at the state level to address the health issues of small children, all over the country. It is one of the largest child care programmes in the world aiming at child health, hunger, mal nutrition and its related issues.

Under the ICDS scheme, one trained person is allotted to a population of 1000, to bridge the gap between the person and organized healthcare, and to focus on the health and educational needs of children aged 0-6 years. This person is the Anganwadi worker.

An Anganwadi School in a small village in Rajasthan

What does Anganwadi mean?
The name anganwadi worker is derived from the Indian word – angan, which means the court yard (an central area in and around the house where most of the social activities of the household takes place). In rural settings, the angan is the open place where people gather to talk, greet the guests, and socialize. Traditional rural households have a small hut or house with a boundary around the house which houses their charpoys, cattle, feed, bicycle, etc. Sometimes food is also prepared in the angan. Some members of the household also sleep outside in open air, under the sky, in their angans. The angan is also considered as the ‘heart of the house’ and a sacred place which buzzes with activity at the break of dawn. Given the nature of this versatile nature of this space, the public health worker who works in an angan, and also visits other people’s angans, helping with their healthcare issues and concerns, is the Anganwadi worker.

The Anganwadi worker and helper are the basic functionaries of the ICDS who run the anganwadi centre and implement the ICDS scheme in coordination with the functionaries of the health, education, rural development and other departments. Their services also include the health and nutrition of pregnant women, nursing mothers, and adolescent girls.

Today in India, about 2 million aanganwadi workers are reaching out to a population of 70 million women, children and sick people, helping them become and stay healthy. Anganwadi workers are the most important and oft-ignored essential link of Indian healthcare.

Anganwadi workers are India’s primary tool against the menace of child malnourishment, infant mortality, and lack of child education, community health problems and in curbing preventable diseases. They provide services to villagers, poor families and sick people across the country helping them access healthcare services, immunization, healthy food, hygiene, and provide healthy learning environment for infants, toddlers and children.

To elicit community support and participation in running the programme.

To weigh each child every month, record the weight graphically on the growth card, use referral card for referring cases of mothers/children to the sub-centres/PHC etc., and maintain child cards for children below 6 years and produce these cards before visiting medical and para-medical personnel.

To carry out a quick survey of all the families, especially mothers and children in those families in their respective area of work once in a year.

To organise non-formal pre-school activities in the anganwadi of children in the age group 3-6 years of age and to help in designing and making of toys and play equipment of indigenous origin for use in anganwadi.

To organise supplementary nutrition feeding for children (0-6 years) and expectant and nursing mothers by planning the menu based on locally available food and local recipes.

To provide health and nutrition education and counseling on breastfeeding/ Infant & young feeding practices to mothers. Anganwadi Workers, being close to the local community, can motivate married women to adopt family planning/birth control measures

AWWs shall share the information relating to births that took place during the month with the Panchayat Secretary/Gram Sabha Sewak/ANM whoever has been notified as Registrar/Sub Registrar of Births & Deaths in her village.

To make home visits for educating parents to enable mothers to plan an effective role in the child’s growth and development with special emphasis on new born child.

To maintain files and records as prescribed.

To assist the PHC staff in the implementation of health component of the programme viz. immunisation, health check-up, ante natal and post natal check etc.

To assist ANM in the administration of IFA and Vitamin A by keeping stock of the two medicines in the Centre without maintaining stock register as it would add to her administrative work which would effect her main functions under the Scheme.

To share information collected under ICDS Scheme with the ANM. However, ANM will not solely rely upon the information obtained from the records of AWW.

To bring to the notice of the Supervisors/ CDPO any development in the village which requires their attention and intervention, particularly in regard to the work of the coordinating arrangements with different departments.

To maintain liaison with other institutions (Mahila Mandals) and involve lady school teachers and girls of the primary/middle schools in the village which have relevance to her functions.

To guide Accredited Social Health Activists (ASHA) engaged under National Rural Health Mission in the delivery of health care services and maintenance of records under the ICDS Scheme.

To assist in implementation of Kishori Shakti Yojana (KSY) and motivate and educate the adolescent girls and their parents and community in general by organzing social awareness programmes/ campaigns etc.

AWW would also assist in implementation of Nutrition Programme for Adolescent Girls (NPAG) as per the guidelines of the Scheme and maintain such record as prescribed under the NPAG.

Anganwadi Worker can function as depot holder for RCH Kit/ contraceptives and disposable delivery kits. However, actual distribution of delivery kits or administration of drugs, other than OTC (Over the Counter) drugs would actually be carried out by the ANM or ASHA as decided by the Ministry of Health & Family Welfare.

To identify the disability among children during her home visits and refer the case immediately to the nearest PHC or District Disability Rehabilitation Centre.

To support in organizing Pulse Polio Immunization (PPI) drives.

To inform the ANM in case of emergency cases like diahorrea, cholera etc.?

How does the Anganwadi System Work?
The Anganwadi system in one village/ area is managed by a single Anganwadi worker, who is chosen from the community and has been trained for four months in areas such as health, nutrition and childcare. Each Anganwadi worker covers a population of about 1000 people.

It is heartening to know that there more than a million Anganwadi centers in India, employing more than 2 million workers, who are mostly female and intuitive to the health needs of the region. For a country where illness, child mortality, illiteracy and poverty co-exist, this comes as a refreshing statistic.

MukhyaSevika – The Supervisor of Anganwadi Workers
For every 10 Anganwadi workers, there is an Anganwadi Supervisor to provide on-the-job guidance, who is also known as Mukhya Sevika. Apart from the healthcare, nutrition and educational work, the following are the responsibilities of the Anganwadi Supervisor:

Checks the list of beneficiaries from the low economic strata, who are severely malnourished,

Guides AWWs in the assessment of correct ages of children, correct method of weighing the children, and plotting their weights on growth charts,

Demonstrates to the AWWs the effective methods of providing health and nutrition education to mothers, and
Maintains the statistics of the Anganawadis

The Mukhya Sevikas, in turn, report to the Child Development Projects officer (CDPO)

How does the Anganwadi System help?
India is home to over-population, mal nutrition, poverty, unemployment, low literacy levels and more, with a target to make healthcare accessible and affordable for everyone. Given the urgency of healthcare issues, child mortality, mal nutrition, etc., our country needs high number of medical and healthcare professionals to cater to the population that is now running into billions. Faced with acute shortage of skilled professionals, the Government’s ICDS scheme is using the local population to help meet its grand goals.

The Anganwadi worker hails from the village where she works and has her finger on the pulse of the health of the village, its people and children.

Apart for the healthcare knowledge that she possesses and gained over a period of time, the Anganwadi worker is so entrenched in the general affairs of the household that she is in a better position to understand the real malady behind the healthcare issues. These latent problems of the household or community could range from relationship issues, daily hassles, sanitation, nutrition, social, peer pressure, and much more. Given the definition of health – the physical, metal, social, spiritual wellbeing of an individual, the Anganwadi worker perhaps has the best insight into the people’s health of her region.

While educated doctors, learned nurses and seasoned professionals are excellent in their work and skills, they mostly lack the social skills and expertise which is more than necessary in interacting with the rural folk. An anganwadi worker is well versed in the ways of the village, knows the people by their names, interacts with them on regular basis and may also has an personal relationship with the people.

Anganwadi workers need to have good communication skills. They are usually adept in using the right language, metaphors and allusions for convincing people to act in a certain way. Religious customs and sentiments work best for them.

Here is an interesting account of how the Anganwadi worker convinced the villagers from defecating on open land. From shaming the defecators, convincing the women of the house, to citing the sacred texts that emphasized cleanliness and took the sanitary hygiene of the village to much higher level than one can imagine. Such is the power of the Anganwadi worker.

Some Anganwadi workers are very enterprising. Like the ones in Tamil Nadu, trhey have taken the initiative of growing kitchen gardens to help meet the nutritional needs and achieve the objectives of reducing mal nutrition of 0-6 year olds. So far 200 kitchen garden initiatives have been undertaken where Anganwadi workers will be trained in laying the gardens and growing crops, on one cent of land allotted to them. …

With minimum qualification to boot, an Anganwadi worker is deemed wise in the ways of the village and in the duties that she performs. Their understanding, communication skills and approach is needed to implement the grand projects of the state and central Governments, making them the most vital link in delivering the ‘health for all’ mission.

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what qhaulification of superwiser in india in aganwadi . I am a B.A Graduate student . but I am inspire this job and want to do this job.last sinc 5 year experince of aganwadi workar kindly infom me aganwadi supervisor vakenci and what are salary.now aganwadi workar in surat city.Stat.gujarat

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What is process to be a Anganwadi superivisor? I am graduated from Delhi University,and i want to know that How much experience need to become a supervisor from Anganwadi worker?Plz reply as soon as possible in my e mail id.

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what qhaulification of superwiser in india in aganwadi . I am a art student in this year i have completed my master degree M.A IN HOME SCIENCE FROM KANPUR UNIVERSITY WITH IIND DIV. PLZ GUIDE ME FOR ANGANWADI JOB OPPORTUNITIES . but I am inspire this job and want to do this job.

I am from a village of bihar. In my village the aganwari people no following any thing that above mentioned. The boys or girls who used to go to aganwari kendra. They dont get good drinking water, no toilets, they used to seat near cowdung. Which produce bad smell. They get same food every day….they alsoo dont get another usefull benefit..
Where should i complain for this problem please mail me or take some action…they are corrupted people

Sir/madam . I resently joined in PHC in andhra pradeshk.here AWW they dont know ,how to moniter &plot groth charts as a medical officer can i verify their records &do nessasary corrections.please reply me as early as possible.

dear, sir/madam. i want to know that what is the qualification and age for anganwadi supervisor and anganwadi teacher . i am intresting for doing this job pls help me .palz infrom me for vacancy thank you .palz reply me as early as possible

What is process to be a Anganwadi superivisor? I am graduated from Delhi University,and i want to know that How much experience need to become a supervisor from Anganwadi worker?Plz reply as soon as possible in my e mail id.

What is process to be a Anganwadi superivisor? I am graduated from gujarat University,and i want to know that How much experience need to become a supervisor from Anganwadi supervisor?Plz reply as soon as possible in my e mail id.

dear, sir/madam. i want to know that what is the qualification and age for anganwadi supervisor and anganwadi teacher . i am intresting for doing this job pls help me .palz infrom me for vacancy thank you .palz reply me as early as possible

dear, sir/madam,
I want to know that what is the qualification and age for anganwadi Teacher & anganwadi Helper . I am intresting for doing this job pls help me palz infrom me for vacancy thank you .palz reply me as early as possible
Thanking you

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dear sir/madam-
i want to know that what is the qualification & age for anganvadi supervisor andangnvadi
teacher.
i am intresting for doing this job pls help me.
pls inform me for vacancy thankyou.
pls reply me asearly aspossible.

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my sister is in anganwadi and she is in problem the problem is this her landlord never waiting for the rent and her department will delaying for paying the payment and her landlord talk with her in abuse language and never giving her entry in the room and the stationary is also under in the landlord no one of department supporting to her seniors is also hied so what she do this time and where she complain about this she is in mukundpur anganwade delhi and she is working from 5 to 6 year with anganwadi her name is marry sosan

They never the payment on time its not too much amount but never pay on time just its to give tension to a widow and a divorce lady that how to manger her home and children better to forget to work in anganwadi.

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Iam an anganwadi worker. I am serving in this post during 2007. now i have done marriage . my sub centre is at madarihat block and i marriaged at sadar block jalpaiguri. it is so far and i am fassing difficulties for daily journey. it is imposible for me doing centre. now i am applied for tramsfer my job from madarihat block to sadar block jalpaiguri. i have applied 2 years ago. but no any information/response received from the department.please inform me about the transfer of my job

I m a social worker from Dhanbad shamsher nagar, I am very surprised to know the work of anganwadi, worker around my surrounding not performing their work properly even not giving correct information regarding health or anythin please suggest me what should I do for poor women and children

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My wife want to teach in anganwadi. How can we proceed.
I want to know that what is the qualification & age for anganwadi supervisor, anganwadi teacher. i am interesting for doing this job pls help me pls inform me for vacancy, Awaiting of your reply

Am Monika Gill… really inspired to read ur article regarding Anganvadi….. Am B.A and wants to join supervisor in Anganvadi as to motivate others and give sum contribution to encourage to do study, health care and all si plz let me know the detailed procedure how can i join……. thank you

GREAT WORK IS BEING DONE NOW DAYS BY ANGADWADI WORKERS AND MUKYA SEVIKA IN GUJARAT AND OTHER COUNTRY. FOR THIS GENTLE WORK CURRENT GOVERNMENT SHOULD THANK THE ANGADWADI AND WHOLE UNIT IN INDIA AND SHOULD DO BEST FOR THIS PEOPLE.

No proper promotional opportunities for this catogory of anganwadi workers and Helpers.Their problems are not dealt with sympethetically in Tamil nadu.Helpers are considerd for promotion as worker with a minimum of 10 years work experience even though they are qualified i.e 10 th standard passed with in few years of their joining. It is not justice that for 10 th passed qualified helpers denial of promotion till to reach 10 years experence n the post of anganwadi helpers. It is an anomoly which could be dealt with fairly and objectively. Thanks

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to serve my nation.

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Sir I leave in faridabad surya vihar pall I want to start angan bari center in my house and do the works for society and I have also more experience of medical practice and my name is Dr R k Pandey Bsc RMP KOLKATA mob 8585902297 pls call me

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I am from Vadakara in Kozhikode District of Kerala. I have gone through the roles to be done by the Anganawadi Workers/Teahers. But I don’t think that they are doing all the services suppose to be done by them. May be due to non-support from higher authorities. Recently there is a news that a proposal is their to increase the salary of Anganawadi Workers/Teachers from present 5000 to 10000. May I know who is deciding the salary, whether by State Government or Central Government? Local rumer is that it is by State Govt. Please let me know. Also AWW may please be directed to involve more among the local women as envisaged in their duties.

i want to know that posak sakhi mahila seat in every anganbadi me lene wala hai pleaswe tell me her process i shall greatfull to u for this kindness. i am from giridih district and block bengabad village madhwadih and an anganbadi centre is going on but teacher sewika is a dullness and she is on duty by the duplicate certificate 10th.

Very good article . As the saying goes The buck stops here– the whole development of malnutrition children pregnant women , the minimum vaccination and the child care stops with Anganwadi workers.But most state governments illiterate them , do not pay properly while they are doing a great job for the nation. They have to fight for minimum wages often .The MLAs rise their salaries , Pay commission rises salaries of employees, but Anganwadi teachers and Asha workers have to struggle with meagre salaries .The C.Ms of A.P and Terengganu spends office money for their pleasure trips and personal beliefs ,but shabbily treats the Anganwadi workers.

Really this is an excellent information you provided about anganwadi system. Today these anganwadi workers doing great job and connecting general public for health at the grassroots.

Today IT and telemedicine have further boosted healthcare at the click of a mouse and simplifies healthcare via state of art technology & round the clock support. The main obstacle is lack of education among the public, our slow system and the wrong implementation. This is a time when you don’t have need to carry and manage your bundles of health records manually, you can manage all the medical documents on internet through various electronic health records platforms (Personal Health Records Systems) like practo, webmd and http://www.imedicalhub.com.

We can spread the modern health education to last men of the country through this anganvadi system. I was reading above comments and it’s really very good to see that through this information many of the readers keen to know more about these anganwadi workers and even many of these readers are want to work as these anganwadi workers.

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Hi, I have done mba from smu last semester. And have more than 14 yes of experience in admin and business upgradation. Behalf of that in college life I was working with ngo N.Y.K. with my N.C.C. I feel proud to serve my mother and with my people. So, pls let me know the all the circumstances , if I am eligible to run N.G.O in different states like Delhi, haryana, Assam, uttar Pradesh, bengalore . I am with places. It would be grateful .
Thank you
Bst Rgds
Mrs Mili Paul
9711544019

The Anganwadi Workers of India
are reaching out to a population of 70 million women, children and sick people, helping them become and stay healthy. They are the most important yet oft-ignored essential link of Indian healthcare. Read more

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